Influence of different palate repair protocols on facial growth in unilateral complete cleft lip and palate
Abstract Objective To address the question of whether one- or two-stage palatal treatment protocol has fewer detrimental effects on craniofacial growth in patients aged 5 years with unilateral complete cleft lip and palate. Materials and methods Forty patients with non-syndromic unilateral complete...
Gespeichert in:
| Veröffentlicht in: | Journal of cranio-maxillo-facial surgery 2015-01, Vol.43 (1), p.43-47 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 47 |
|---|---|
| container_issue | 1 |
| container_start_page | 43 |
| container_title | Journal of cranio-maxillo-facial surgery |
| container_volume | 43 |
| creator | Xu, Xue Kwon, Hyuk-Jae Shi, Bing Zheng, Qian Yin, Heng Li, Chenghao |
| description | Abstract Objective To address the question of whether one- or two-stage palatal treatment protocol has fewer detrimental effects on craniofacial growth in patients aged 5 years with unilateral complete cleft lip and palate. Materials and methods Forty patients with non-syndromic unilateral complete cleft lip and palate (UCCLPs) who had received primary cleft lip repair at age 6–12 months and cleft palate repair at age 18–30 months were selected in this study. Eighteen UCCLP patients who received two-stage palate repair were selected as group 1, and 22 UCCLP patients who received one-stage palate repair were selected as group 2. The control group consisted of 20 patients with unilateral incomplete cleft lip (UICL patients) whose age and gender matched with UCCLP patients. A one-sample Kolmogorov–Smirnov test was used to analyze the nature of data distribution. Bonferroni test and Kruskal–Wallis H tests were used for multiple comparisons. Results Both case groups showed reduced maxillary sagittal length (ANS-PMP, A-PM, p |
| doi_str_mv | 10.1016/j.jcms.2014.10.007 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1640689287</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1010518214002844</els_id><sourcerecordid>1640689287</sourcerecordid><originalsourceid>FETCH-LOGICAL-c411t-5db1ef4ee3d21dc1caccfe32929ff89c4c576dbcb6b652efd27b81b6b8cfd9363</originalsourceid><addsrcrecordid>eNp9kUGP1SAUhRvjxBlH_4ALw9JNn0BpSxNjYiYzOskks1DXhF4uSodChVYz_16a93ThwhVwcs7J5btV9YrRA6OsezsdJpjzgVMminCgtH9SXTDZy1owNjwtd8po3TLJz6vnOU-U0o7K4Vl1zlvR9qKTF9XDbbB-wwBIoiXGWYsJw0oW7fWKJOGiXSJLimuE6DOJgVgNTnvyLcVf63fiAtmC282piBDnxWMJgke7Eu8WooM5tb2ozqz2GV-ezsvq6831l6tP9d39x9urD3c1lLnXujUjQysQG8OZAQYawGLDBz5YKwcQ0PadGWHsxq7laA3vR8nKS4I1Q9M1l9WbY28Z-8eGeVWzy4De64Bxy4p1gnZy4LIvVn60Qoo5J7RqSW7W6VExqnbIalI7ZLVD3rUCuYRen_q3cUbzN_KHajG8Oxqw_PKnw6QyuJ2xcQlhVSa6__e__ycO3gUH2j_gI-YpbikUfoqpzBVVn_c171tmglIuhWh-A-DLpU0</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1640689287</pqid></control><display><type>article</type><title>Influence of different palate repair protocols on facial growth in unilateral complete cleft lip and palate</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Xu, Xue ; Kwon, Hyuk-Jae ; Shi, Bing ; Zheng, Qian ; Yin, Heng ; Li, Chenghao</creator><creatorcontrib>Xu, Xue ; Kwon, Hyuk-Jae ; Shi, Bing ; Zheng, Qian ; Yin, Heng ; Li, Chenghao</creatorcontrib><description>Abstract Objective To address the question of whether one- or two-stage palatal treatment protocol has fewer detrimental effects on craniofacial growth in patients aged 5 years with unilateral complete cleft lip and palate. Materials and methods Forty patients with non-syndromic unilateral complete cleft lip and palate (UCCLPs) who had received primary cleft lip repair at age 6–12 months and cleft palate repair at age 18–30 months were selected in this study. Eighteen UCCLP patients who received two-stage palate repair were selected as group 1, and 22 UCCLP patients who received one-stage palate repair were selected as group 2. The control group consisted of 20 patients with unilateral incomplete cleft lip (UICL patients) whose age and gender matched with UCCLP patients. A one-sample Kolmogorov–Smirnov test was used to analyze the nature of data distribution. Bonferroni test and Kruskal–Wallis H tests were used for multiple comparisons. Results Both case groups showed reduced maxillary sagittal length (ANS-PMP, A-PM, p < 0.05) and retrusion of the maxilla (S-Ptm, p < 0.05), A point and ANS point (Ba-N-A, Ba-N-ANS, p < 0.05). Patients treated with two-stage palate repair had a reduced posterior maxillary vertical height (R-PMP, p < 0.05). Conclusions Our results indicated that maxillary sagittal length and position could be perturbed by both one- and two-stage palate repair. Vomer flap repair inhibited maxilla vertical growth. Delayed hard palate repair showed less detrimental effects on maxillary growth compared to early hard palate repair in UCCLP patients aged 5 years.</description><identifier>ISSN: 1010-5182</identifier><identifier>EISSN: 1878-4119</identifier><identifier>DOI: 10.1016/j.jcms.2014.10.007</identifier><identifier>PMID: 25457468</identifier><language>eng</language><publisher>Scotland: Elsevier Ltd</publisher><subject>Age Factors ; Anatomic Landmarks - pathology ; Case-Control Studies ; Cephalometry - methods ; Child, Preschool ; Cleft Lip - surgery ; Cleft palate ; Cleft Palate - surgery ; Dentistry ; Facial skeleton growth ; Female ; Humans ; Male ; Maxilla - growth & development ; Maxilla - pathology ; Maxillofacial Development - physiology ; One-stage palate repair ; Palate - surgery ; Palate, Hard - surgery ; Palate, Soft - surgery ; Reconstructive Surgical Procedures - methods ; Surgery ; Surgical Flaps - surgery ; Two-stage palate repair ; Vertical Dimension ; Vomer - surgery ; Vomer flap</subject><ispartof>Journal of cranio-maxillo-facial surgery, 2015-01, Vol.43 (1), p.43-47</ispartof><rights>European Association for Cranio-Maxillo-Facial Surgery</rights><rights>2014 European Association for Cranio-Maxillo-Facial Surgery</rights><rights>Copyright © 2014 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c411t-5db1ef4ee3d21dc1caccfe32929ff89c4c576dbcb6b652efd27b81b6b8cfd9363</citedby><cites>FETCH-LOGICAL-c411t-5db1ef4ee3d21dc1caccfe32929ff89c4c576dbcb6b652efd27b81b6b8cfd9363</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1010518214002844$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25457468$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Xu, Xue</creatorcontrib><creatorcontrib>Kwon, Hyuk-Jae</creatorcontrib><creatorcontrib>Shi, Bing</creatorcontrib><creatorcontrib>Zheng, Qian</creatorcontrib><creatorcontrib>Yin, Heng</creatorcontrib><creatorcontrib>Li, Chenghao</creatorcontrib><title>Influence of different palate repair protocols on facial growth in unilateral complete cleft lip and palate</title><title>Journal of cranio-maxillo-facial surgery</title><addtitle>J Craniomaxillofac Surg</addtitle><description>Abstract Objective To address the question of whether one- or two-stage palatal treatment protocol has fewer detrimental effects on craniofacial growth in patients aged 5 years with unilateral complete cleft lip and palate. Materials and methods Forty patients with non-syndromic unilateral complete cleft lip and palate (UCCLPs) who had received primary cleft lip repair at age 6–12 months and cleft palate repair at age 18–30 months were selected in this study. Eighteen UCCLP patients who received two-stage palate repair were selected as group 1, and 22 UCCLP patients who received one-stage palate repair were selected as group 2. The control group consisted of 20 patients with unilateral incomplete cleft lip (UICL patients) whose age and gender matched with UCCLP patients. A one-sample Kolmogorov–Smirnov test was used to analyze the nature of data distribution. Bonferroni test and Kruskal–Wallis H tests were used for multiple comparisons. Results Both case groups showed reduced maxillary sagittal length (ANS-PMP, A-PM, p < 0.05) and retrusion of the maxilla (S-Ptm, p < 0.05), A point and ANS point (Ba-N-A, Ba-N-ANS, p < 0.05). Patients treated with two-stage palate repair had a reduced posterior maxillary vertical height (R-PMP, p < 0.05). Conclusions Our results indicated that maxillary sagittal length and position could be perturbed by both one- and two-stage palate repair. Vomer flap repair inhibited maxilla vertical growth. Delayed hard palate repair showed less detrimental effects on maxillary growth compared to early hard palate repair in UCCLP patients aged 5 years.</description><subject>Age Factors</subject><subject>Anatomic Landmarks - pathology</subject><subject>Case-Control Studies</subject><subject>Cephalometry - methods</subject><subject>Child, Preschool</subject><subject>Cleft Lip - surgery</subject><subject>Cleft palate</subject><subject>Cleft Palate - surgery</subject><subject>Dentistry</subject><subject>Facial skeleton growth</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Maxilla - growth & development</subject><subject>Maxilla - pathology</subject><subject>Maxillofacial Development - physiology</subject><subject>One-stage palate repair</subject><subject>Palate - surgery</subject><subject>Palate, Hard - surgery</subject><subject>Palate, Soft - surgery</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Surgery</subject><subject>Surgical Flaps - surgery</subject><subject>Two-stage palate repair</subject><subject>Vertical Dimension</subject><subject>Vomer - surgery</subject><subject>Vomer flap</subject><issn>1010-5182</issn><issn>1878-4119</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUGP1SAUhRvjxBlH_4ALw9JNn0BpSxNjYiYzOskks1DXhF4uSodChVYz_16a93ThwhVwcs7J5btV9YrRA6OsezsdJpjzgVMminCgtH9SXTDZy1owNjwtd8po3TLJz6vnOU-U0o7K4Vl1zlvR9qKTF9XDbbB-wwBIoiXGWYsJw0oW7fWKJOGiXSJLimuE6DOJgVgNTnvyLcVf63fiAtmC282piBDnxWMJgke7Eu8WooM5tb2ozqz2GV-ezsvq6831l6tP9d39x9urD3c1lLnXujUjQysQG8OZAQYawGLDBz5YKwcQ0PadGWHsxq7laA3vR8nKS4I1Q9M1l9WbY28Z-8eGeVWzy4De64Bxy4p1gnZy4LIvVn60Qoo5J7RqSW7W6VExqnbIalI7ZLVD3rUCuYRen_q3cUbzN_KHajG8Oxqw_PKnw6QyuJ2xcQlhVSa6__e__ycO3gUH2j_gI-YpbikUfoqpzBVVn_c171tmglIuhWh-A-DLpU0</recordid><startdate>20150101</startdate><enddate>20150101</enddate><creator>Xu, Xue</creator><creator>Kwon, Hyuk-Jae</creator><creator>Shi, Bing</creator><creator>Zheng, Qian</creator><creator>Yin, Heng</creator><creator>Li, Chenghao</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20150101</creationdate><title>Influence of different palate repair protocols on facial growth in unilateral complete cleft lip and palate</title><author>Xu, Xue ; Kwon, Hyuk-Jae ; Shi, Bing ; Zheng, Qian ; Yin, Heng ; Li, Chenghao</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-5db1ef4ee3d21dc1caccfe32929ff89c4c576dbcb6b652efd27b81b6b8cfd9363</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Age Factors</topic><topic>Anatomic Landmarks - pathology</topic><topic>Case-Control Studies</topic><topic>Cephalometry - methods</topic><topic>Child, Preschool</topic><topic>Cleft Lip - surgery</topic><topic>Cleft palate</topic><topic>Cleft Palate - surgery</topic><topic>Dentistry</topic><topic>Facial skeleton growth</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Maxilla - growth & development</topic><topic>Maxilla - pathology</topic><topic>Maxillofacial Development - physiology</topic><topic>One-stage palate repair</topic><topic>Palate - surgery</topic><topic>Palate, Hard - surgery</topic><topic>Palate, Soft - surgery</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>Surgery</topic><topic>Surgical Flaps - surgery</topic><topic>Two-stage palate repair</topic><topic>Vertical Dimension</topic><topic>Vomer - surgery</topic><topic>Vomer flap</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Xu, Xue</creatorcontrib><creatorcontrib>Kwon, Hyuk-Jae</creatorcontrib><creatorcontrib>Shi, Bing</creatorcontrib><creatorcontrib>Zheng, Qian</creatorcontrib><creatorcontrib>Yin, Heng</creatorcontrib><creatorcontrib>Li, Chenghao</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cranio-maxillo-facial surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Xu, Xue</au><au>Kwon, Hyuk-Jae</au><au>Shi, Bing</au><au>Zheng, Qian</au><au>Yin, Heng</au><au>Li, Chenghao</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Influence of different palate repair protocols on facial growth in unilateral complete cleft lip and palate</atitle><jtitle>Journal of cranio-maxillo-facial surgery</jtitle><addtitle>J Craniomaxillofac Surg</addtitle><date>2015-01-01</date><risdate>2015</risdate><volume>43</volume><issue>1</issue><spage>43</spage><epage>47</epage><pages>43-47</pages><issn>1010-5182</issn><eissn>1878-4119</eissn><abstract>Abstract Objective To address the question of whether one- or two-stage palatal treatment protocol has fewer detrimental effects on craniofacial growth in patients aged 5 years with unilateral complete cleft lip and palate. Materials and methods Forty patients with non-syndromic unilateral complete cleft lip and palate (UCCLPs) who had received primary cleft lip repair at age 6–12 months and cleft palate repair at age 18–30 months were selected in this study. Eighteen UCCLP patients who received two-stage palate repair were selected as group 1, and 22 UCCLP patients who received one-stage palate repair were selected as group 2. The control group consisted of 20 patients with unilateral incomplete cleft lip (UICL patients) whose age and gender matched with UCCLP patients. A one-sample Kolmogorov–Smirnov test was used to analyze the nature of data distribution. Bonferroni test and Kruskal–Wallis H tests were used for multiple comparisons. Results Both case groups showed reduced maxillary sagittal length (ANS-PMP, A-PM, p < 0.05) and retrusion of the maxilla (S-Ptm, p < 0.05), A point and ANS point (Ba-N-A, Ba-N-ANS, p < 0.05). Patients treated with two-stage palate repair had a reduced posterior maxillary vertical height (R-PMP, p < 0.05). Conclusions Our results indicated that maxillary sagittal length and position could be perturbed by both one- and two-stage palate repair. Vomer flap repair inhibited maxilla vertical growth. Delayed hard palate repair showed less detrimental effects on maxillary growth compared to early hard palate repair in UCCLP patients aged 5 years.</abstract><cop>Scotland</cop><pub>Elsevier Ltd</pub><pmid>25457468</pmid><doi>10.1016/j.jcms.2014.10.007</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1010-5182 |
| ispartof | Journal of cranio-maxillo-facial surgery, 2015-01, Vol.43 (1), p.43-47 |
| issn | 1010-5182 1878-4119 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1640689287 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Age Factors Anatomic Landmarks - pathology Case-Control Studies Cephalometry - methods Child, Preschool Cleft Lip - surgery Cleft palate Cleft Palate - surgery Dentistry Facial skeleton growth Female Humans Male Maxilla - growth & development Maxilla - pathology Maxillofacial Development - physiology One-stage palate repair Palate - surgery Palate, Hard - surgery Palate, Soft - surgery Reconstructive Surgical Procedures - methods Surgery Surgical Flaps - surgery Two-stage palate repair Vertical Dimension Vomer - surgery Vomer flap |
| title | Influence of different palate repair protocols on facial growth in unilateral complete cleft lip and palate |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-07T17%3A51%3A09IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Influence%20of%20different%20palate%20repair%20protocols%20on%20facial%20growth%20in%20unilateral%20complete%20cleft%20lip%20and%20palate&rft.jtitle=Journal%20of%20cranio-maxillo-facial%20surgery&rft.au=Xu,%20Xue&rft.date=2015-01-01&rft.volume=43&rft.issue=1&rft.spage=43&rft.epage=47&rft.pages=43-47&rft.issn=1010-5182&rft.eissn=1878-4119&rft_id=info:doi/10.1016/j.jcms.2014.10.007&rft_dat=%3Cproquest_cross%3E1640689287%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1640689287&rft_id=info:pmid/25457468&rft_els_id=S1010518214002844&rfr_iscdi=true |